Publication Search

One part of the large intestine can be affected by an anal fistula or rectovaginal fistula due to infection of the anal glands. In patients who have undergone colonostomy, radiological examinations such as lopography are necessary to detect abnormalities, especially in the anal region. Pediatric lopography with clinical rectovaginal fistula post colonostomy at the Radiology Department of Dr. Sardjito General Hospital involves inserting contrast media into the proximal section through the proximal stoma with an anteroposterior projection and into the distal section through the anal opening with a lateral projection. The study aimed to determine the contrast enema examination procedure in pediatric patients with clinical rectovaginal fistula post-colonostomy, including examination techniques, patient preparation, equipment and materials used, as well as handling problems such as blockages in the distal intestine. Methods: The study was conducted in May–June 2025 using a qualitative descriptive method through observation, interviews, and documentation, involving three radiographers and one radiologist. Data analysis was performed through data collection, data reduction, data presentation, discussion, and conclusion drawing. Results: The results showed that lopography examinations used water-soluble iodine contrast media mixed with NaCl at a ratio of 1:3, which was inserted through the proximal stoma and anus. Preparation included fasting from breast milk, confirming patient identity, informedconsent, and preparation of equipment such as an X-ray machine with fluoroscopy, catheters, syringes, and Computed Radiography.

Hypertension is an abnormal increase in blood pressure in the arteries that persists over a period of time. Hypertension is defined as an increase in systolic blood pressure of at least 140 mmHg or diastolic blood pressure of at least 90 mmHg. Symptoms experienced by people with hypertension include dizziness, irritability, ringing in the ears, difficulty sleeping, shortness of breath, heaviness in the neck, fatigue, and blurred vision. The purpose of this study was to determine the effect of warm foot baths with salt and recitation of prayers on the blood pressure of patients with hypertension. The method used is quantitative, with a pre-experimental research design using a one-group pre-test-post-test design. Hydrotherapy is performed by soaking the feet in warm water mixed with salt and reciting prayers using 3 liters of warm water at a temperature of 38-40ºC mixed with 15 grams or 3 teaspoons of salt for 15-20 minutes. In addition to warm water foot soaking therapy, it can also be combined with incorporating elements of faith, one form of which is recitation. Sampling was conducted using non-probability sampling techniques. For the sample size in this study, the researcher used the Slovin sample size formula, which is used to calculate the minimum sample size in a finite population with a total sampling approach and 16 respondents. Conclusion: Warm foot bath therapy with salt mixture and recitation has an effect on blood pressure changes in hypertensive patients.

The management of domestic wastewater remains a major challenge in rural areas, including in Central Tapanuli Regency. Limited community participation, low access to environmental information, and weak institutional support are key factors hindering sustainable sanitation efforts. This study aims to identify and analyze the factors influencing community roles in environmentally friendly wastewater management and to formulate empowerment strategies that align with local characteristics. This research uses a Mixed Methods approach, combining a descriptive quantitative method with multiple linear regression analysis to assess the influence of variable X1 (Knowledge), X2 (Access to Information), and X3 (Institutional Support) on variable Y (Community Role). Quantitative data were collected from 175 respondents using a closed-ended questionnaire, while qualitative data were obtained through in-depth interviews and field observations in four villages: Sipeapea, Pandan, Tapian Nauli, and Hutabalang. The results show that all three independent variables have a positive influence on enhancing community roles, with institutional support being the most dominant factor. In addition, qualitative interviews revealed a gap in practical knowledge and a need for stronger cross-sectoral communication. These findings indicate that optimizing community involvement strongly depends on continued education, information transparency, and institutional synergy. This study recommends intervention strategies including community-based sanitation education, the establishment of village environmental information systems, and the integration of waste management programs into regional development planning. These findings are expected to serve as a foundation for more adaptive, contextual, and sustainable environmental policymaking in Central Tapanuli.

Background: There are still shortcomings in the implementation of a truly safe and optimal thoracic examination protocol for toddlers in certain hospital settings. Furthermore, data related to direct radiation dose measurements and evaluation of the effectiveness of thoracic examination techniques for toddlers specifically in the local context in Indonesia are very limited. Objective: To examine the thoracic examination procedure that can be performed with a high level of safety without compromising the quality of diagnostic results and to evaluate the radiation exposure dose and thoracic examination techniques in toddlers at Hospital. Methodology: This study used a mixed methods approach with a convergent parallel design. Quantitative data were obtained from radiation dose measurements and examination parameters, while qualitative data were collected through observation, interviews, and group discussions, then analyzed thematically to understand the factors that influence radiation dose in infant thoracic examinations. Results: Research on thoracic radiology examinations in toddlers at Heart and Vascular Hospital was conducted systematically and in accordance with established procedures. Some limitations emerged from limited radiation dose records and inconsistent use of protective shields. Efforts to reduce radiation exposure include optimizing examinations, proper collimation, selecting exposure parameters, and educating families and staff. Continuous training and strict implementation of standard operating procedures (SOP) are essential to raise awareness of the ALARA principle. Internal policies and routine oversight are also needed to improve radiation dose monitoring, with the hope of improving the quality of radiology services and optimizing protection for toddler patients.

Traditional markets play a central role in the local economic system and the social life of communities, particularly in Medan City. However, the dynamics of urbanization, competition from modern retail, and changes in consumer behavior have posed significant challenges to their sustainability. This study aims to analyze the relationship between the strategic location of traditional markets and their economic performance using a mixed-methods approach and spatial analysis. The research focuses on six traditional markets in Medan City: Petisah Market, Sukaramai Market, Beruang Market, Ikan Lama Market, Sei Sikambing Market, and Pringgan Market. Quantitative data were collected through questionnaires using a Likert scale and analyzed descriptively and correlationally, while qualitative data were gathered through field observations and in-depth interviews to interpret the socio-spatial context of each market. The key variables include accessibility, commodity diversity, and environmental comfort, which are linked to economic performance indicators such as visitor numbers, buyer loyalty, and sales stability. The results show that Petisah, Pringgan, and Ikan Lama Markets scored highest in these variables and demonstrated better economic performance. Correlation analysis identified commodity diversity as the most influential factor on economic performance, followed by environmental quality and accessibility. To strengthen the analysis, a SWOT model was also applied to identify the strengths, weaknesses, opportunities, and threats faced by traditional markets. This analysis reveals that the primary strengths of the markets lie in their location and social interaction, while the main challenges stem from a lack of modern management and pressure from digital markets. This study recommends development strategies based on local advantages, infrastructure modernization, market information digitalization, and cultural promotion as steps to sustainably enhance the competitiveness of traditional markets amid urban spatial changes.

Sidewalks are a crucial element of urban infrastructure that support pedestrian mobility. However, on Jalan Dr. Mansyur, Medan Selayang, sidewalk conditions present various problems, such as damaged surfaces, a lack of accessibility facilities, and the presence of street vendors occupying the lanes. This study aims to analyze the impact of sidewalk quality on pedestrian activity by examining three main factors: the physical condition of the sidewalk, environmental safety, and accessibility. Using a mixed methods approach, the sample for the quantitative approach was taken using a stratified random sampling method with a total of 150 respondents. Quantitative data were analyzed using descriptive statistics and SPSS software, while qualitative data were collected through in-depth interviews with key informants. The results showed that sidewalk accessibility had the strongest relationship with pedestrian activity (correlation coefficient 0.72), followed by the physical condition of the sidewalk (0.68) and environmental safety (0.55). Minimal accessibility factors, such as the lack of special lanes for the disabled, proved to be the main obstacle to pedestrian activity. In addition, the damaged physical condition of the sidewalk and the use of sidewalks for activities that are not in accordance with their function further reduce user comfort. Based on these findings, key recommendations include physical improvements to sidewalks with regard to the principles of universal accessibility, including the addition of dedicated lanes for the disabled, repair of damaged surfaces, and reconfiguration of spaces to discourage use by street vendors. The government needs to ensure adequate street lighting to improve user safety. The public is expected to maintain the function of sidewalks by utilizing them according to their intended purpose, while future researchers are advised to explore the impact of sidewalk improvements on broader social and economic aspects, as well as consider the integration of technology in sidewalk design and management. The conclusion of this study is the need for collaborative action between the government, the community, and other relevant parties to create inclusive sidewalk infrastructure that supports active mobility.

Coastal areas are vital for ecosystems, social, and economic systems, yet they face challenges like erosion, land-use conversion, and weak community-based management. Serdang Bedagai Regency, located in North Sumatra, has significant ecological and socio-cultural potential, but this potential has not been sustainably managed. This study analyzes strategies for sustainable coastal land management by integrating local wisdom and village government roles. A mixed-method approach was used, including in-depth interviews, field observations, and surveys with 30 respondents from two coastal villages. The qualitative findings reveal that traditional practices, such as prohibiting mangrove cutting and communal conservation traditions, are still alive in the community. The village government plays a crucial role in strengthening institutions through village regulations (Perdes), environmental programs, and spatial monitoring. However, there is a gap between community understanding of ecological values and the implementation of regulations. Quantitative analysis using multiple linear regression shows that both local wisdom and the village government's role significantly influence sustainable coastal land management, with coefficients of 0.491 and 0.426, respectively (p < 0.05). Despite some heteroskedasticity, the model passed tests for multicollinearity and normality. These findings highlight the importance of combining traditional values with institutional support to balance coastal resource utilization and conservation. This study contributes to the development of a socio-ecological coastal governance model and offers practical recommendations for village governments, policymakers, and academics in creating participatory and sustainable coastal preservation programs.

This study examines the dynamics of urban politics in the policy of the Palembang City Government regarding the management of disorganized electrical cables. The problem of irregularly hanging cables, mixed with telecommunication lines, and often dangling too low poses safety risks, reduces the city’s aesthetics, and reflects weak governance of urban infrastructure. This research employs a qualitative approach using a case study method. Data were collected through field observations, in-depth interviews with relevant stakeholders, and documentation. The research informants consisted of representatives from the Palembang City Government, PLN (the state electricity company), telecommunication providers, and affected communities. The findings indicate that cable management policy is a concrete effort by the government to create an orderly, safe, and modern urban spatial arrangement. The Palembang City Government seeks to reorganize the overhead cable networks while simultaneously planning the development of underground utility ducts as a long-term solution. However, the implementation of this policy faces several challenges, particularly conflicting interests among stakeholders: PLN emphasizes operational efficiency, telecommunication providers resist additional financial burdens, while the public demands quick action but shows limited participation. This study concludes that the issue of cable management is not merely technical but also represents an arena of urban political contestation among the state, the private sector, and society. Effective solutions require cross-sectoral coordination, strong regulatory frameworks, collaborative financing, and active community involvement. Through a comprehensive approach, cable management in Palembang City has the potential to enhance public safety, improve urban aesthetics, and strengthen government legitimacy in sustainable urban governance.

This research investigates the integration of renewable energy systems within coastal conservation areas through public-private partnership (PPP) frameworks to achieve dual objectives of environmental sustainability and economic development. The study addresses the critical challenge of balancing energy infrastructure development with ecological preservation in sensitive coastal ecosystems, where biodiversity and community livelihoods are often at risk due to increasing industrial and urban pressures. A mixed-methods approach is employed, combining case study analysis, stakeholder interviews, and economic modeling, to generate a comprehensive perspective on the opportunities and constraints of renewable energy deployment in these regions. Case studies highlight successful international practices of PPPs that have facilitated renewable energy projects while safeguarding marine and coastal ecosystems. Stakeholder interviews with government agencies, local communities, and private sector representatives reveal the importance of transparent governance, shared responsibility, and inclusive participation in ensuring long-term project sustainability. Economic modeling further demonstrates that well-structured PPP models can reduce implementation costs by 30–40% while adhering to biodiversity conservation standards and regulatory frameworks. Findings underscore that renewable energy projects, when embedded within collaborative governance structures, not only contribute to reducing carbon emissions but also create employment opportunities, stimulate local economies, and enhance community resilience. This study contributes to the sustainable development literature by providing an actionable framework for integrating renewable energy infrastructure in environmentally sensitive areas through PPPs. The proposed framework emphasizes adaptive policy design, capacity building, and equitable benefit-sharing, offering practical insights for policymakers, practitioners, and researchers seeking to reconcile energy needs with ecological protection in coastal regions.

Student motivation is crucial to success in learning a foreign language. This study focuses on analyzing the motivation of students studying Indonesian as a foreign language in the Bipas in-country learning program at Udayana University in Bali. Specifically, the study is aimed at investigating the motivations of foreign students learning Indonesian in the program, and whether students' learning motivation shifts by the end of the course. The study involved 38 foreign students and five Indonesian lecturers during the Spring 2024 semester as respondents, and applied an explanatory sequential mixed methods design which consists of two phases, namely a quantitative phase and a qualitative phase to collect data. The results show that, despite strong support from the Balinese community for using the Indonesian language, students' motivation shifted from instrumental to integrative at the end of the course. Integrative motivation, which is prevalent, is defined as a desire to connect with the culture and community. Instrumental motivation ,on the other hand,  such as the expectation that learning Indonesian will open up career opportunities or improve social status, remains relatively low. To increase overall motivation, the learning programme should combine the two types of motivation, strengthening the sense of social connection and emphasising the practical value and tangible benefits of learning Indonesian.

This study aims to explore the potential of cassava extract (Manihot esculenta)-based growth media for isolating microorganisms from soil. The use of alternative culture media is crucial, especially in regions with limited access to commercial media such as Nutrient Agar or Potato Dextrose Agar, which are relatively expensive. Cassava, a tropical tuber rich in starch and widely available in Indonesia, offers significant promise as a natural substrate for microbial growth. Microbial isolation was performed using a serial dilution method on soil samples collected from an organic garden. The media was prepared from cassava juice mixed with agar and glucose, sterilized, and poured into petri dishes. After inoculation, microbes were incubated for seven days at room temperature. Colony morphology was observed macroscopically, and Gram staining was used to identify bacterial characteristics. The results revealed that cassava extract media effectively supported the growth of diverse microbial colonies, varying in shape, color, and edge structure. Most isolates were identified as Gram-positive, with rod and coccus forms. The presence of pigmented colonies indicates the potential of certain isolates to produce bioactive compounds. In conclusion, cassava extract-based media is a viable alternative for soil microbiology studies. It is not only cost-effective but also facilitates the exploration of local microbial diversity with potential applications in biotechnology, including bioremediation and enzyme production. This approach encourages the use of indigenous resources in scientific research, promoting sustainability and accessibility in microbiological practices.

The KKN Program of Universitas PGRI Adi Buana Surabaya for the 2024–2025 period in Kajeksan Village, Sidoarjo Regency, focuses on the issue of family food security by implementing a mixed farming system based on the use of used goods. This service method uses Participatory Action Research (PAR) through the stages of to know (identifying problems), to understand (socialization of concepts), to plan (design a system from gallons of mineral water), to act (training and assistance in making hydroponics-aquaponic systems, making fish feed from household waste, and natural vitamins), and to change (evaluation and sustainability). As a result, there is an improvement in community skills with the realization of catfish harvest along with optimal kale growth, opening household business opportunities, and creating a sustainable empowerment model through appropriate technology transfer.

Hypertension is a non-communicable disease (NCD) with a high prevalence in Indonesia and is a major cause of serious complications, such as stroke, kidney failure, and heart disease. The high incidence of hypertension makes this disease a primary focus of NCD control efforts at the primary healthcare level. The Ulee Kareng Community Health Center has implemented a sustainable hypertension control program for the past three years with the aim of reducing the incidence of complications and improving patients' quality of life. This study aims to evaluate the implementation of the hypertension control program using a logic model framework that encompasses five aspects: input, process, output, outcome, and impact. The research method used is descriptive analytic with a mixed methods approach, combining quantitative and qualitative data to obtain a comprehensive overview of program implementation. The results indicate that the hypertension control program at the Ulee Kareng Community Health Center has had a positive impact. In terms of output and outcome, there has been an increase in patient compliance with therapy prescribed by healthcare professionals, a decrease in blood pressure in the majority of patients, and a decrease in the number of hypertension-related complications. This indicates that the program is quite effective in achieving its intended goals. However, several challenges remain. The main problems lie in the suboptimal data recording system and the suboptimal delivery of health education. To improve the program's effectiveness in the future, recommendations include strengthening the monitoring and evaluation system, increasing the capacity of health workers and cadres through training, and developing innovative media and educational strategies to make information more easily understood and applied by the public.

A lopography or barium enema colostomy is a radiographic examination of the colon using a contrast medium inserted through a colostomy. This examination aims to evaluate the condition of the colon after the colostomy, including detecting the presence of obstructions or masses in the gastrointestinal tract. The contrast medium used is a type of non-ionic soluble water that is inserted through the stoma and anus orifice until it fills the entire colon, characterized by the exit of contrast through the stoma. The examination was carried out using several radiographic projections, including plain photographs of the AP abdomen, as well as post-contrast projections of the Antero Posterior (AP), Right Posterior Oblique (RPO), Left Posterior Oblique (LPO), and lateral. This study aims to find out the procedure for the Lopography examination at the Radiology Installation of Caruban Hospital and the medical reasons for the use of two channels of input of contrast media, namely through the stoma and anus. The method used is qualitative descriptive research with a case study approach. The study was carried out from November to May 2025, with one post-colostomy patient as a sample. Data collection was carried out through direct observation, interviews with medical personnel, and documentation of radiographic procedures. Data analysis includes data reduction, data presentation, and conclusion drawn. The results of the study showed that the procedure of Robotic examination did not require any special preparation before the procedure. The non-ionic contrast medium used is mixed with aquades at a ratio of 1:3 (about 200 cc), and inserted through both the stoma and the anus to obtain a thorough visualization of the colon. The selection of two input paths aims to ensure that there are no blockages or masses that block the contrast flow. The projections used are adjusted to provide maximum information about the structure of the colon after colostomy

This study analyzes the symbolic meaning of the 2025 Easter Parade in Kupang City using a symbolic interactionist approach, with a central focus on the cross as a primary symbol. The cross is not only understood as a sacred religious emblem but also as a medium of social communication whose meaning is dynamically constructed through interactions between parade participants, spectators, and particularly the actors portraying the figure of Jesus. These social interactions allow for the reinterpretation of the symbol’s meaning based on cultural contexts and participants' experiences.The findings reveal that deviant behavior exhibited by some actors portraying Jesus created a dissonance between the ideal meaning of Christ’s suffering and the actual performance displayed during the parade. This mismatch caused cognitive dissonance among viewers and had the potential to distort the intended spiritual message of the symbol. The incident underscores the importance of actors' awareness of the sacred nature of the symbol and the necessity for responsible and contextually appropriate representations in public rituals.The study also emphasizes that religious symbols are fluid and do not possess fixed or absolute meanings. Instead, they are subject to redefinition based on individual and collective experiences, cultural backgrounds, and public perceptions. Within the context of the Easter Parade, the cross becomes a performative medium that reflects the values, beliefs, and social dynamics of the diverse society in Kupang. This research employs a mixed-methods approach by integrating both quantitative and qualitative data to provide a more comprehensive understanding. Quantitative data offers general insights into audience perceptions of the symbolic performance, while qualitative data explores deeper layers of symbolic meaning and the sociocultural implications that arise. Overall, this study contributes to the discourse on religion, symbolism, and public ritual by highlighting the importance of intentionality, appropriate representation, and cultural sensitivity in maintaining the sacredness of religious symbols in dynamic and pluralistic public spaces

This study analyzes the application of the compound interest concept in evaluating capital growth among vegetable vendors at the MMTC Traditional Market in Medan, North Sumatra. The research highlights the low level of financial literacy among micro-entrepreneurs in Indonesia, which currently stands at only 38.03%, and its implications for business sustainability. Traditional market traders generally employ basic bookkeeping practices focused solely on daily cash flow, without considering the time value of money or the growth potential from systematic profit reinvestment. Using a mixed-methods approach, this study combines semi-structured interviews to explore existing financial management practices with quantitative modeling based on the discrete compound interest formula to simulate various capital growth scenarios. The analysis reveals that disciplined reinvestment strategies, even when initiated with modest capital and conservative growth rates, can lead to substantial capital accumulation within three to five years. Three primary barriers to capital growth were identified: limited understanding of financial mathematics, lack of long-term planning, and a tendency to prioritize immediate consumption over investment. This research underscores the transformative potential of compound interest principles for micro-enterprise development and recommends practical financial literacy training along with supportive financial ecosystems that encourage sustainable reinvestment practices.

This research was carried out using a qualitative method through a direct survey conducted in Tangga Batu Village. The main goal of this study is to utilize corn cob waste into an alternative fuel product in the form of briquettes that is more environmentally friendly. Corn cobs are one of the abundant agricultural wastes, but they are often not used optimally. Through simple innovations, this waste can be processed into alternative energy sources that have economic value while having added value for the surrounding community. The process of making briquettes begins with the preparation of equipment which includes a kiln, mold, drying container, mash tool, strainer, and scale. The main ingredient is corn cobs that are first dried in the sun for 3–4 days to reduce the moisture content by 10–20%. Additional materials used are tapioca flour as an adhesive, small amounts of diesel, and water. The next stage is to compose the corn cobs in the burning pit for 20–30 minutes until they become charcoal. The charcoal is then scraped using a simple tool and sifted to separate the fine and rough parts. The fine charcoal is mixed with a starch adhesive from tapioca flour, then molded using a simple mold and compacted through a pressing process to produce good quality briquettes. Next, the briquettes are dried in the sun for 2-3 days until they are completely dry and ready to be used as fuel instead of wood or kerosene. The results of the study show that corn cob waste has great potential to be used as an alternative fuel. In addition to being environmentally friendly, these products also contribute to reducing dependence on fossil fuels.

In light of the moderating effects of organizational readiness (OR) and digital literacy (DL), this study attempts to examine how business intelligence (BI) affects the sustainable performance and decision-making quality of SMEs in Lampung Province.  This study used a convergent parallel design and a mixed methods approach, integrating both qualitative and quantitative data to offer a thorough insight.  In-depth interviews with 15 important informants provided qualitative data, while purposive sampling was used to choose 200 SMEs as respondents for quantitative data. The outer and inner models were evaluated in a quantitative study using Partial Least Squares Structural Equation Modeling (PLS-SEM), and thematic analysis was used to examine the qualitative data. The findings demonstrated that BI significantly influences sustainable performance (β=0.24, p<0.001) and decision quality (β=0.65, p<0.001), both directly and via decision quality mediation (β=0.58, p<0.001). The association between BI and decision quality was found to be strengthened by OR and DL.  SME players stress the significance of rapid, precise, and integrated data access in enhancing the precision of company strategy, and qualitative findings corroborate the quantitative findings. This study offers useful suggestions for boosting SMEs' competitiveness in the age of digital transformation.

The custom of sitting on the parent-parents is discussed in this journal by the residents of Ujung Gading Village, a mixed-ethnic community that includes both Mandailing and Minangkabau residents. This duduk induk-induk custom, which is typically referred to as markumpul hepeng (money collection), is a mutually supportive attitude and a custom that is practiced by community organizations to aid the host in paying for the wedding. This publication looks at or investigates ways to comprehend and research Minang culture in Ujung Gading overall. Particularly in the duduk induk-induk procedures, it can also serve as a source of information and research for the advancement of linguistic science in the study of the duduk induk-induk tradition and comprehend it from an Islamic standpoint. Using qualitative data analysis methods, information was gathered via literature reviews, interviews, and documentation. The study's findings demonstrate that the coaching provided by traditional leaders—namely, putir, ninik mamak, and datuk kinayah—took the form of discussion.

This study discusses the implementation of consumer law in the context of gold investment through PT X's digital application and the consumer protection guarantee mechanisms presented in the system. The research method used is normative juridical, namely a method that emphasizes the study of applicable positive legal norms, legal doctrine, and the application of relevant legal principles. The results of the study indicate that the implementation of consumer law in digital-based gold investment has been carried out in accordance with contractual principles as stipulated in civil law and in line with the provisions of Law Number 8 of 1999 concerning Consumer Protection. In practice, gold investment transactions through the X application are carried out with a mixed agreement containing elements of sale and purchase, deposit, and pawn. This is an important basis because the legal relationship between consumers and companies is not only a single transaction, but a combination that requires guaranteed protection of consumer rights. The legal basis for this mechanism is reflected in the X Digital Application Operational Guidelines Number 28 of 2024, which detailed administrative procedures, application usage requirements, and the implementation of consumer protection principles as stipulated in Articles 4, 7, 18, and 45 of the Consumer Protection Law. Thus, the implemented system not only emphasizes commercial aspects but also ensures a balance between the rights and obligations of consumers and businesses. This study highlights how digital transformation in financial services requires a robust legal framework to protect consumers from potential risks. Therefore, internal company regulations and guidelines play a strategic role in ensuring fairness and providing a sense of security for people investing in gold through digital applications.